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 </head>
 <body>
  <div style="margin: auto; width: 1000px">
   <h4>TW Follow-Up 2023 - Main Form</h4>
   <table class="table table-bordered table-condensed" style="height: 100%; width: 100%">
    <thead>
     <tr>
      <th style="width: 20%;" class="headerCell"><h6>Field</h6></th>
      <th style="width: 60%;" class="headerCell"><h6>Question</h6></th>
      <th style="width: 20%;" class="headerCell"><h6>Answer</h6></th>
     </tr>
    </thead>
    <tbody>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>welcome</span></td>
      <td class="questionCell">Welcome to the maintenance project survey! <br><br>Please fill in the village details and then start recording the water source information and status assessment. <br><br>Conduct the survey with the caretakers of the water source. If none of them is available, you can interview someone from an household using regularly the water source.<br><br>Please fill in one form per water source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>enumerator_name <span class="required">(required)</span> </span></td>
      <td class="questionCell">Enumerator name</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">enum_code</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>enum_name</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>upazila_name <span class="required">(required)</span> </span></td>
      <td class="questionCell">Upazila name</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">upazila_name</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>upazila_name</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>union_name <span class="required">(required)</span> </span></td>
      <td class="questionCell">Union name</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">union_name</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>union_name</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>village_first_letter <span class="required">(required)</span> </span></td>
      <td class="questionCell">Select the first letter of the village name</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">vill_first_code</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>vill_first_name</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>village <span class="required">(required)</span> </span></td>
      <td class="questionCell">Village name</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">village_code</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>village_name</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>cluster <span class="required">(required)</span> </span></td>
      <td class="questionCell">Cluster Name</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">cluster_code</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>cluster_name</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The cluster is not on the list.</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>cluster_text</span></td>
      <td class="questionCell">Please write the cluster name</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Identify the water source and introduction</span></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_description <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Identify the water source by village name, cluster name and TW description.<br><br>Notice that for TWs in Matlab and Gopalpur, the TW description corresponds to the names of the caretaker.</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">swoid</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>tw_description</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Identify the water source and introduction &gt; Verify replacements in manganese villages</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>manganese_explain</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">In this village, project TWs were tested for manganese after installation. Some of them resulted to be unsafe. Among those TWs tested unsafe, some TWs (but not all) were replaced.<br><br>Notation:<br>- Replaced TW: first TW installed, tested unsafe and replaced;<br>- Replacement TW: new TW installed in order to replace an unsafe TW.<br><br>In the following screen there will be some questions regarding the TW whose caretaker is: [tw_description].</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>manganese_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What was the result of the test on this TW after the first installation?<br><br>This TW: <p class="hint">Please verify with the caretaker and nearby households.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">safe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Was tested safe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">unsafe_replaced</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Was tested unsafe, replaced</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">unsafe_not_replaced</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Was tested unsafe, not replaced</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">replacement</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Is the replacement TW</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">not_tested</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Was not tested</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_replaced</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Be sure to fill in one survey for the replaced TW and one survey for the replacement TW!</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_replaced <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please note that at the beginning of the survey you selected caretaker name:<br>[tw_description].<br><br>Do you confirm that [tw_description] is the name of the caretaker of the REPLACED TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_replacement <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please note that at the beginning of the survey you selected caretaker name:<br>[tw_description].<br><br>Do you confirm that [tw_description] is the name of the caretaker of the REPLACEMENT TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_name_review <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please go back and review your answer.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>note_countusers</span></td>
      <td class="questionCell">During the whole duration of the survey, take note of all users that come to collect water from this water source. <p class="hint">Count every person who brings a vessel to fill with water at the source as a user. &lt;br/&gt;&lt;br/&gt;Examples:&lt;br/&gt;- If an adult comes with a young child and collects one vessel of water, count one user. &lt;br/&gt;- If an adult comes with an older child and they each collect one vessel of water, count two users.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>note_respondent_search</span></td>
      <td class="questionCell">Interview the caretaker of the water source, if one exists and they can be located. If no caretaker exists or the caretaker cannot be located, then interview the nearby households. With respect to observations regarding the source, use your own observations as well as the respondent's answers to give the correct responses.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>note_intro</span></td>
      <td class="questionCell">We are working for an NGO called NGO Forum for Public Health, and collaborating with researchers from Stockholm University. We worked in this area in the previous years and we provided new public sources of safe drinking water to this village. We are now conducting a follow-up study in order to assess the conditions over time of these water source(s) that we installed in this village.<br><br>As part of this study, we want to ask you some questions regarding the condition of the water source and its use by the community.<br><br>Moreover, we are offering to test the water from this source for arsenic and bacterial contamination. The test will inform you whether or not this water source is contaminated with arsenic and bacteria. If it is contaminated with arsenic or bacteria, then using it without treating it might make you or your children sick, or people from other households sick. Noone outside of the research team will see the results of the test. The bacteria test takes 1-2 days to process, so we will send you an sms with the results.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Caretakers details</span></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 1: <br>Please select the name of the person displayed below, if he/she is still one of the current caretakers. Otherwise, please select the appropriate option.</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_name_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>caretaker_name_1</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>This person is no longer the caretaker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">997</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Cannot verify whether or not this person is the caretaker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">990</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There is no caretaker of the source/The tubewell is destroyed/No water flows</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">995</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The respondent does not know who is the caretaker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">994</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No name is shown</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_1_nolonger <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 1: <br>Why is this person no longer the caretaker?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_1_exist <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 1: <br>Is there a new caretaker for the TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_1_new <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 1: <br>Please enter the name of the new caretaker.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 2:<br>Please select the name of the person displayed below, if he/she is still one of the current caretakers. Otherwise, please select the appropriate option.</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_name_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>caretaker_name_2</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>This person is no longer the caretaker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">997</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Cannot verify whether or not this person is the caretaker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">990</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There is no caretaker of the source/The tubewell is destroyed/No water flows</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">995</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The respondent does not know who is the caretaker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">994</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No name is shown</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_2_nolonger <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 2:<br>Why is this person no longer the caretaker?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_2_exist <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 2:<br>Is there a new caretaker for the TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker_2_new <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Caretaker 2:<br>Please enter the name of the new caretaker.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker1_phone_number_yn <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you give us the phone number of [caretaker_1_name]? <p class="hint">Please explain that we ask the phone number for tracking purposes and for sending the results of the bacteria test in 1-2 days, in case we will observe very high contamination levels.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Caretakers details &gt; Phone number.</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker1_phone_number <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Mobile phone number of [caretaker_1_name]. <p class="hint">Enter with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker1_phone_number_check <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please enter again the mobile phone number of [caretaker_1_name]. <p class="hint">Enter with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker1_phone_numb_reenter <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You entered two different numbers! <br>Please go back and check for mistakes.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker2_phone_number_yn <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you give us the phone number of [caretaker_2_name]? <p class="hint">Please explain that we ask the phone number for tracking purposes and for sending the results of the bacteria test in 1-2 days, in case we will observe very high contamination levels.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Caretakers details &gt; Phone number.</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker2_phone_number <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Mobile phone number of [caretaker_2_name]. <p class="hint">Enter with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker2_phone_number_check <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please enter again the mobile phone number of [caretaker_2_name]. <p class="hint">Enter with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>caretaker2_phone_numb_reenter <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You entered two different numbers! <br>Please go back and check for mistakes.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Survey respondent</span></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>respondent <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who are you conducting the interview with?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Caretaker ...</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Caretaker ...</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Both caretakers (... and ...)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>respondent_only1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who are you conducting the interview with?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Caretaker ...</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>respondent_only2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who are you conducting the interview with?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Caretaker ...</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey respondent &gt; Phone number for water test results</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>receive_test_results <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who should we call for the results from water testing?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Caretaker ...</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Caretaker ...</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other person</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">none</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None: the tubewell is destroyed</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>recipient_name</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please write the name of the person we should contact for the water test results.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey respondent &gt; Phone number for water test results &gt; Phone number.</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>phone_number <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Mobile phone number of the person to contact for the water test results. <p class="hint">Enter with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>phone_number_check <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please enter again this mobile phone number. <p class="hint">Enter with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>phone_numb_reenter <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You entered two different numbers! <br>Please go back and check for mistakes.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Water Source Description</span></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the water source.<br>Please include in the picture also the surrounding area.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_description_new <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Describe the source using local identifiers e.g. nearby households; the way in which local people refer to the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Confirm the technology used for this water source.</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">tw_type</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>tw_type_label</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_type_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What type of source is it?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stw</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Shallow tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dtw</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Deep tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dstw</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Deepset tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">airp</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>AIRP</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_type_replaced <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What was the technology of the replaced TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stw</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Shallow tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dtw</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Deep tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dstw</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Deepset tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">airp</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>AIRP</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_installation_year_know <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do you know the year this water source was installed? <p class="hint">Help the respondent to remember with reference to important national events around the time period.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_installation_year <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Year of installation <p class="hint">Please provide an estimate.&lt;br/&gt;&lt;br/&gt;Help the respondent to remember with reference to important national events around the time period.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_depth_know <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do you know the depth of this tubewell?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_depth <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Depth of well in feet. <p class="hint">Please provide an estimate.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_land_ownership_now</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who owns the land for this location now?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">public</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Public land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mosque</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mosque land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">temple</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Temple land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">school</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>School land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">road_side</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Road side</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">private</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Land owned by a private household</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_land_ownership_installation</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who owned the land for this location at the time of installation of the water source?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">public</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Public land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mosque</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mosque land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">temple</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Temple land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">school</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>School land</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">road_side</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Road side</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">private</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Land owned by a private household</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_location_poss <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is it possible to collect GPS coordinates for water source? <p class="hint">Do not change this field unless it proves impossible to record GPS coordinates. If you have problems, go to settings/location/mode and choose “high accuracy”, then try again. Only change this field if you have first verified that it is impossible to collect GPS coordinates.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_location <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Collect the coordinates of the water source. <p class="hint">Remember, you must be outside to collect GPS coordinates!</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_tw_location</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Use the following screens to add the geocoordinates of the water source location. Please record them as more precisely as possible!</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Water Source Description &gt; Enter manually the latitude of this location.</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_latitude_dd <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">LATITUDE, degrees: <p class="hint">Enter 2 digits with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_latitude_mm <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">LATITUDE, minutes: <p class="hint">Enter 2 digits with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_latitude_ss <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">LATITUDE, seconds: <p class="hint">Enter "ss.ss" with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Water Source Description &gt; Enter manually the longitude of this location.</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_longitude_dd <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">LONGITUDE, degrees: <p class="hint">Enter 3 digits with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_longitude_mm <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">LONGITUDE, minutes: <p class="hint">Enter 2 digits with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tw_longitude_ss <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">LONGITUDE, seconds: <p class="hint">Enter "ss.ss" with no spaces.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Survey for final TWs</span></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_water_available</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Pump water from the source and fill completely the vessel (7L).<br><br>If water flows, count how many times you have to pump the handle in order to fill in the vessel. <p class="hint">Do this exercise yourself!</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_available <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is it possible to fill in the vessel (7L) completely?<br><br>Answer "yes" to this question in all cases when it is possible to fill in the vessel, irrespectively of the time needed and even if the water quality is poor or the community reports that the tubewell is in disuse.</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_destroyed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please review your answers.<br><br>At the previous question "Who should we call for the results from water testing?", you answered:<br>"None: the tubewell is destroyed"</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Water available</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>pump_times <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How many times do you need to push the handle in order to fill in the vessel (7L)?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>flow_rate</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How is the flow rate?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">constant</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Constant and copious</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">constant_little</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Constant, but little water flows</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">low_start</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Initially the water flow is very little, but after few pumps it started to flow copiously</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>flow_rate_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>times_notavailable <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any times of day when water is not available (i.e. water does not flow from the water source)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>seasons_notavailable <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any seasons when water is not available (i.e. water does not flow from the water source)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ws_used <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does the community use this source to collect water for drinking and/or cooking?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_always_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, both for drinking and cooking, always</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_always_drinking</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, only for drinking, always</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_always_cooking</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, only for drinking, always</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_dryseason_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, both for drinking and cooking, but the landowner allows access to the source only during the dry season</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_dryseason_drinking</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, only for drinking, but the landowner allows access to the source only during the dry season</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_dryseason_cooking</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, only for cooking, but the landowner allows access to the source only during the dry season</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, other</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_access</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No, the landowner does not allow other community people to collect water from this source</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_undrinkable</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No, the water quality is not suitable for drinking or cooking</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No, other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ws_used_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>bac_testing_instruction</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please collect water samples for the water tests. The order for sample collection is the following: <br>1. Collect the water sample for the first bacteria test (without pre-pumping or cleaning). <br>2. Pump water continuously for approximately 5 minutes and then collect the water sample for the arsenic field test. <br>3. Collect the water sample for the arsenic lab test in Stockholm.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_bac_testing_instruction</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Bacteria test: <br>Write the date and time on the label of the bottle for the bacteria test sample.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ws_bac_test_id_manual <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Bacteria test: <br>Please enter the ID on the barcode for the bacteria field test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>bac_test_id_temp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Bacteria test: <br>Please scan the barcode for the bacteria field test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_ws_bac_test_id_check <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Bacteria test: <br><br> The barcode you entered manually does not match the barcode you scanned. Please go back and try again, or replace the barcode. The barcode you entered manually was [ws_bac_test_id_manual]. The barcode you scanned was [ws_bac_test_id].</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>bact_test_results</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Bacteria test: <br>Please remind that the results for the bacteria tests will take 1 or 2 days to be ready. We will call them in case of high levels of bacteria contamination.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_arsenic_test_instr</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please pump water continuously for approximately 5 minutes and then collect the water sample for the arsenic field test and the arsenic lab test. It is necessary to pump water a sufficient number of times before collecting these water samples in order to ensure that the arsenic tests are based on ground water, and not water from the pump body, from which arsenic might have oxidized.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_arsenic_field_test</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Arsenic field test: <br> In order to keep track of the 20 minutes needed for the test, write the time on the Bromaid Strip. <br> After the 20 minute wait, pull up the turret and carefully remove the test strip (do not let it fall into the bottle liquid).Use the Arsenic Test Kit Color Chart label to match the test strip pad color within the next 30 seconds (colors oxidize when exposed to light). For best color matching, use natural daylight, but not direct sunlight. <br> Please right after 20 minutes have passed, write a note on the Bromaid Strip with the arsenic test result! <br> You will enter the arsenic test result in the next section.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_arsenic_lab_testing_instruction</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Arsenic lab test: <br>Write the date and time on the label of the bottle for the arsenic lab test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ws_arsenic_lab_test_id_manual <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Arsenic lab test: <br>Please enter the ID on the barcode for the arsenic lab test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>arsenic_lab_test_id_temp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Arsenic lab test: <br>Please scan the barcode for the arsenic lab test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_ws_arsenic_lab_test_id_check <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Bacteria test: <br><br> The barcode you entered manually does not match the barcode you scanned. Please go back and try again, or replace the barcode. The barcode you entered manually was [ws_arsenic_lab_test_id_manual]. The barcode you scanned was [ws_arsenic_lab_test_id].</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Water unavailable</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_reason <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Why is it not possible to fill completely the vessel (7L)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">destroyed</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No water flows: The tubewell is destroyed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_push</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No water flows: I cannot push the handle completely due to high resistance and pressure</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">broken_parts</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No water flows: I cannot pump the tubewell because some of its VISIBLE outer parts are broken</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_water</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No water flows: I can push the handle and there is no VISIBLE outer part broken, but no water flows</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_stop</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water stops flowing: I can push the handle and there is no VISIBLE outer part broken; water initially flows but then it stops</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">little_water</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Too little water: I can push the handle and there is no VISIBLE outer part broken, water flows at a constant rate, but water flow is too little</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_destroyed2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please review your answers.<br><br>At the previous question "Who should we call for the results from water testing?", you answered:<br>"None: the tubewell is destroyed."</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_reason_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_duration_tell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you tell me how long it has been since this problem started?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Water availability &gt; Water unavailable &gt; How long has it been since this problem started?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_duration_numb <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How long has it been since this problem started?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_duration_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit) <p class="hint">You may give ages in days, weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to days, weeks, months or years.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">days</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Days</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>times_available <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any times of day when water is available (i.e. water flows from the water source and it is possible to fill completely a vessel similar to this one)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>seasons_available <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any seasons when water is available (i.e. water flows from the water source and it is possible to fill completely a vessel similar to this one)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Water unavaible: visible outer parts broken</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_unav_broken_parts</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">No water flows: I cannot pump the tubewell because some of its VISIBLE parts are broken.<br><br>Use the following screens to select these outer parts that are broken and are causing water to not flow. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Water availability &gt; Water unavaible: visible outer parts broken &gt; Broken parts (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_broken_part <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the source is broken?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_broken_part_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_broken_part_salinity <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is this part of the source broken due to high salinity of the water? i.e. Is this part oxydized or eroded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_broken_part_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_unav_broken_parts <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that the source is not functioning because some part of it is broken, but you have not entered the details for any broken part!<br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Water stops flowing</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_water_stop_broken_parts</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Water stops flowing: Use the following screens to select the part of the TW that got broken. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_water_stop_broken_parts_airp</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Note that for AIRP sources, these questions refer only to parts of the TW.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Water availability &gt; Water stops flowing &gt; Broken parts (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_stop_part_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the TW is broken?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_stop_part_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_dstw.PNG" class="questionPrompt">
       </div>Which part of the TW is broken?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">casing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_stop_part_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_stop_part_salinity <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is this part of the source broken due to high salinity of the water? i.e. Is this part oxydized or eroded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_stop_part_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.<br><br>If necessary, open the head cover (for the plunger) or remove the pump body (for foot valve)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_water_stop_parts_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that the source is not functioning because some part of it is broken, but you have not entered the details for any broken part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_water_stop_parts_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that the source is not functioning because some part of it is broken, but you have not entered the details for any broken part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Water inside the pump body?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_water_inside <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Look inside the pump body. Do you see water inside the pump body?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>unav_water_back</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Add CLEAN (drinking quality) water from the top of the tubewell inside the pump body. Try again to pump water from the tubewell.<br><br>Push the handle vigorously few times. Does water start to flow?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Check the plunger</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>plunger_broken <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Open the head cover and extract the plunger. <br><br>Is the rubber part of the plunger broken or consumed?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>plunger_broken_note1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please review your answers:<br>- there is no water flowing from the water source;<br>- there is water inside the pump body;<br>- the plunger does not look broken or consumed.<br><br>These answers are contradictory. Please review your answers. If needed, call Ahasan for confirmation.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>plunger_broken_note3 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please review your answers:<br>- water flows at a constant rate, but water flow is too little;<br>- there is water inside the pump body;<br>- the plunger does not look broken or consumed.<br><br>These answers are contradictory. Please review your answers. If needed, call Ahasan for confirmation.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>plunger_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the plunger.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Check the foot valve</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>footvalve_broken <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Remove the pumpbody and check the foot valve. <br><br>Is the footvalve broken or consumed or look at the attachment with the base?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>footvalve_broken_note <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please review your answers:<br>- there is no water flowing from the water source;<br>- there is no water inside the pump body;<br>- water started to flow after you added some water inside the pump body;<br>- the footvalve does not look broken or consumed.<br><br>These answers are contradictory. Please review your answers. If needed call Ahasan for confirmation.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>footvalve_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the foot valve.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Water availability &gt; Investigate: low water table?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>little_water_worse <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the problem of little water flow worsening over time?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>low_start <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Initially the water flow is very little, but after few pumps it started to flow copiously. Is this problem getting worse over time?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>no_water_worse <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Did the problem of low water get worse over time before water stopped to flow completely?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>low_water_other_hhs <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Ask nearby households: <br><br>Is the problem of low water happening also for other nearby tubewells?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">little_water</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>It happens also with other tubewells that water flows at a constant rate, but water flow is too little</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_stop</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other tubewells also stopped to work</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">low_start</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>It happens also with other tubewells that initially the water flow is very little, but after few pumps it started to flow copiously</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey for final TWs &gt; Water quality</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_drinkable <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the water quality suitable for drinking and cooking?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, both for drinking and for cooking</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drinking</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Only for drinking</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">cooking</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Only for cooking</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Neither for drinking or for cooking</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_undrinkable_reasons <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Why the water is not suitable for drinking and cooking?<br>(Select any that applies)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">salinity</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>High salinity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">smell</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bad smell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_undrinkable_reasons_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_colour <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does the water from the TW have any colour?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_cloudiness <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the water from the TW clear or cloudy?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">clear</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Clear</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">slightly_cloudy</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Slightly cloudy</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">very_cloudy</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Very cloudy</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_glass_pics <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Fill in a glass of water and take a picture. Be sure to ask for a transparent glass!</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_particles <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any visible particles in the water?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_smell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does the water have any smell?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No smell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">rotter_egg</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rotten egg smell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stale</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Stale smell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">fishy</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Fishy smell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_smell_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_taste <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How does the water taste?<br>(Select any that applies)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No particular taste</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">bitter</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bitter taste</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sour</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sour taste</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">chlorine</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chlorine taste</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mildly_saline</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mildly saline taste</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strongly_saline</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strongly saline taste</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">not_try</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The quality is too poor, I am not willing to taste it!</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_taste_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other:</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_guava_test <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Put some green guava leaves in the water and observe the water for one minute. Does the water get darker?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_test</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Cannot do the test</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_guava_notest_reason <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please explain why it is not possible to carry out the test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey for final TWs &gt; Current status of the water source</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>door_lock_added <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there a door lock preventing access to the water source?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>door_lock_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was it funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>door_lock_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>body_lock_added <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the pump body locked with metal chain for preventing stealing?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>body_lock_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was it funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>body_lock_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>autopump_added <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there an automatic pump added to the water source?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>autopump_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was it funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>autopump_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>fence <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there a fence (or any other impediment constraining access to the source) surrounding the source?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>fence_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the fence (or any other impediment constraining access to the source).</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there a latrine within 10m of the TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any other sources of fecal pollution within 10m of TW? <p class="hint">Sources of fecal pollution include: waste material of cow dung or any other poultry or household waste or even clinical waste, kacha drainage system will be considered as source of fecal pollution.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag3 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the nearest source of fecal pollution on higher ground than the TW? <p class="hint">Sources of fecal pollution include: waste material of cow dung or any other poultry or household waste or even clinical waste, kacha drainage system will be considered as source of fecal pollution.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag4 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there any water logging around 2m of the TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag4_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the water logging around the TW.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_rubbish <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there rubbish around the site of the TW?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_rubbish_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the rubbish around the site.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_vegetation <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Has vegetation around the site of the water source been cut back?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_vegetation_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the vegetation around the site.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>platform <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does the water source have a platform?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Current status of the water source &gt; Platform conditions</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag7 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the platform less than 1m in width?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_access <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the water source accessible from all sides of the platform?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_access_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture showing why the source is not accessible from all sides of the platform.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag8 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there any water logging within the platform area?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag8_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the water logging within the platform.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>platform_colour <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What colour is the water source platform?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">red</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Red</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">black</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Black</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mixed</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mixed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>platform_colour_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>drainage_channel <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there a drainage channel?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Current status of the water source &gt; Drainage channel conditions</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag5 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the length of drainage less than 2m?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag6 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the drainage channel cracked, broken or need cleaning?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag6_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the drainage channel.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag10 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the hand pump loose at the base plate?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag10_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the hand pump and the base plate.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag11 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the handle loose at the point of attachment to the head cover?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_diag11_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture at the point of attachment of the handle to the head cover.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_rust <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is any rust visible on the metal parts of the water source?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_little</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, traces of rust are visible</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes_much</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, there is significant rusting visible</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_rust_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of the metal part of the water source with (most) rust.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tubewell_body_secured <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the pump body securely fixed?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_little</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No, the pump body wobbles a little</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_insecure</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No, the pump is very insecurely fixed</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Current status of the water source &gt; AIRP specific conditions</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_aeration <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_aeration_try.PNG" class="questionPrompt">
       </div>Is the aeration tray/channel clean? Does it appear to have been cleaned/flushed recently/regularly? Or is there much build-up of iron (it looks yellow-reddish)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_iron</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it looks yellow-reddish, there is much build-up of iron</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_regular</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it does not look as it is cleaned regularly</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_insects</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: there are insects/pests (ants, spider, cockroach) inside the chamber</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_sedimentation <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Open the sedimentation chamber cover and observe the sedimentation bed. Does it appear to have been cleaned/flushed recently/regularly? Or is there much build-up of iron (it looks yellow-reddish)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_iron</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it looks yellow-reddish, there is much build-up of iron</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_regular</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it does not look as it is cleaned regularly</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_insects</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: there are insects/pests (ants, spider, cockroach) inside the chamber</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_filtration <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Open the filtration chamber cover and observe the filter bed. Does it appear to have been cleaned/flushed recently/regularly? Or is there much build-up of iron (it looks yellow-reddish)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_iron</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it looks yellow-reddish, there is much build-up of iron</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_regular</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it does not look as it is cleaned regularly</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_insects</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: there are insects/pests (ants, spider, cockroach) inside the chamber</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_reserver <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Open the reserver chamber cover and observe inside the chamber. Does it appear to have been cleaned/flushed recently/regularly? Or is there much build-up of iron (it looks yellow-reddish)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_iron</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it looks yellow-reddish, there is much build-up of iron</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_regular</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: it does not look as it is cleaned regularly</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_insects</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No: there are insects/pests (ants, spider, cockroach) inside the chamber</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Current status of the water source &gt; AIRP specific conditions &gt; How often does the community clean the AIRP chambers?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_clean_freq_num <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How often does the community clean the AIRP chambers? <p class="hint">Please report their estimate. You may give frequencies in weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to weeks, months or years.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_clean_freq_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_sludge_pit</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_sludgepit.PNG" class="questionPrompt">
       </div>Is the community regularly cleaning the sludge pit?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_chlorine <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the community regularly adding chlorine to the AIRP?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Current status of the water source &gt; AIRP specific conditions &gt; How often does the community add chlorine?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_chlorine_freq_num <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How often does the community add chlorine? <p class="hint">Please report their estimate. You may give frequencies in weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to weeks, months or years.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>airp_chlorine_freq_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reparation_need <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is there any component of the water source in need of maintenance/reparation (for instance because broken, damaged or oxidized)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Current status of the water source &gt; Parts in need of reparation/maintenance</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_reparation_need_parts</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Use the following screens to select all TW parts in need of maintenance/reparation. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Current status of the water source &gt; Parts in need of reparation/maintenance &gt; Parts in need of reparation/maintenance (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reparation_need_part_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the source needs maintenance/reparation?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reparation_need_part_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_dstw.PNG" class="questionPrompt">
       </div>Which part of the source needs maintenance/reparation?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">casing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bling pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reparation_need_part_airp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_full.PNG" class="questionPrompt">
       </div>Which part of the source needs maintenance/reparation?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">gate_valve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Gate valve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">end_cap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>End cap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_tap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water tap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">socket</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Socket</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">aeration_tray</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Aeration tray/channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber and sedimentation bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber and filter bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">chlorine</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chlorine application</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sludge_pit</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sludge pit</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stairs</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Stairs</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reparation_need_part_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reparation_need_part_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_reparation_need_parts_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that some parts of the water source need reparation/maintenance, but you have not entered the details for any part!<br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_reparation_need_parts_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that some parts of the water source need reparation/maintenance, but you have not entered the details for any part!<br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey for final TWs &gt; Past maintenance and reparation</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>maintenance_previous_year <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please select all maintenance activitities carried out during the last year.<br>(Select any that applies)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">repairing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Repairing some part of the TW</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">replacing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Replacing some part of the TW</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">oiling</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Oiling</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">painting</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Painting</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">none</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; repaired_parts_group</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_repaired_parts</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Use the following screens to select all TW parts repaired. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; repaired_parts_group &gt; Repaired parts (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_dstw.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">casing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bling pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_airp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_full.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">gate_valve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Gate valve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">end_cap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>End cap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_tap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water tap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">socket</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Socket</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">aeration_tray</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Aeration tray/channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber and sedimentation bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber and filter bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">chlorine</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chlorine application</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sludge_pit</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sludge pit</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stairs</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Stairs</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_when_tell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you tell me how long it has been since this part of the source was replaced the last time?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td style="padding-left: 5px; background-color: #E0E0E0; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; repaired_parts_group &gt; Repaired parts (1) &gt; How long has it been since this part of the source was replaced the last time?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_numb <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How long has it been since this part of the source was replaced the last time?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit) <p class="hint">You may give ages in days, weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to days, weeks, months or years.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">days</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Days</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_when_note <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You first answered that this part of the tubewell was repaired last time during last year, but now you answered that this part was repaired last time more than one year ago.<br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was the intervention funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_repaired_parts_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source repaired during last year, but you have not entered the details for any repaired part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_repaired_parts_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source repaired during last year, but you have not entered the details for any repaired part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; replaced_parts_group</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_replaced_parts</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Use the following screens to select all TW parts replaced. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; replaced_parts_group &gt; Replaced parts (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the source was replaced?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_dstw.PNG" class="questionPrompt">
       </div>Which part of the source was replaced?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">casing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bling pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_airp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_full.PNG" class="questionPrompt">
       </div>Which part of the source was replaced?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">gate_valve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Gate valve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">end_cap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>End cap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_tap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water tap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">socket</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Socket</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">aeration_tray</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Aeration tray/channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber and sedimentation bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber and filter bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">chlorine</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chlorine application</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sludge_pit</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sludge pit</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stairs</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Stairs</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_when_tell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you tell me how long it has been since this part of the source was replaced the last time?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td style="padding-left: 5px; background-color: #E0E0E0; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; replaced_parts_group &gt; Replaced parts (1) &gt; How long has it been since this part of the source was replaced the last time?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_numb <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How long has it been since this part of the source was replaced the last time?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit) <p class="hint">You may give ages in days, weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to days, weeks, months or years.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">days</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Days</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replace_part_when_note <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You first answered that this part of the tubewell was replaced during last year, but now you answered that this part was replaced last time more than one year ago.<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was the intervention funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_replaced_parts_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source replaced during last year, but you have not entered the details for any replaced part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_replaced_parts_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source replaced during last year, but you have not entered the details for any replaced part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>maintenance_ever <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please select all maintenance activitities ever carried out since installation.<br>(Select any that applies)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">repairing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Repairing some part of the TW</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">replacing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Replacing some part of the TW</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">oiling</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Oiling</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">painting</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Painting</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">none</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; repaired_parts_ever_group</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_repaired_parts_ever</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Use the following screens to select all TW parts ever repaired. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; repaired_parts_ever_group &gt; Repaired parts (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_dstw.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">casing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bling pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_airp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_full.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">gate_valve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Gate valve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">end_cap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>End cap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_tap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water tap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">socket</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Socket</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">aeration_tray</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Aeration tray/channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber and sedimentation bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber and filter bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">chlorine</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chlorine application</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sludge_pit</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sludge pit</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stairs</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Stairs</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_when_tell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you tell me how long it has been since this part of the source was replaced the last time?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td style="padding-left: 5px; background-color: #E0E0E0; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; repaired_parts_ever_group &gt; Repaired parts (1) &gt; How long has it been since this part of the source was replaced the last time?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_numb <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How long has it been since this part of the source was replaced the last time?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit) <p class="hint">You may give ages in days, weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to days, weeks, months or years.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">days</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Days</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was the intervention funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>repaired_part_ever_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_repaired_parts_ever_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source repaired during last year, but you have not entered the details for any repaired part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_repaired_parts_ever_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source repaired during last year, but you have not entered the details for any repaired part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; replaced_parts_ever_group</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_replaced_parts_ever</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Use the following screens to select all TW parts replaced. Select one component at the time.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; replaced_parts_ever_group &gt; Replaced parts (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #C5C5C5; color: #333333;">(Repeated group)</td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_tw.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_dstw.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">casing</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Bling pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">strainer</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Strainer/Filter</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sand_trap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sand trap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_airp <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">
       <div style="text-align: center;">
        <img src="pic_airp_full.PNG" class="questionPrompt">
       </div>Which part of the source was repaired?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">handle</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handle</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">piston_rod</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Piston rod</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">head_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Head cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">pumpbody</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pumpbody/barrel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">mouth</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mouth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">plunger</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Plunger</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">footvalve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Footvalve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">base</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Base</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">GI_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>GI pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">blind_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Blind pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">nut_bolt</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Nut bolt/screw</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">platform</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Platform</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">drainage_pipe</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Drainage pipe</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">gate_valve</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Gate valve</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">end_cap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>End cap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">water_tap</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water tap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">socket</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Socket</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">aeration_tray</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Aeration tray/channel</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber and sedimentation bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sedimentation_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sedimentation chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber and filter bed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">filtration_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Filtration chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">reserver_chamber_cover</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reserver chamber cover</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">chlorine</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chlorine application</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">sludge_pit</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Sludge pit</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">stairs</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Stairs</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_pic <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Take a picture of this part of the source.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_when_tell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you tell me how long it has been since this part of the source was replaced the last time?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">dk</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Don't know</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">ra</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Refused to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td style="padding-left: 5px; background-color: #E0E0E0; color: #333333;"><span>Survey for final TWs &gt; Past maintenance and reparation &gt; replaced_parts_ever_group &gt; Replaced parts (1) &gt; How long has it been since this part of the source was replaced the last time?</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_numb <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How long has it been since this part of the source was replaced the last time?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="spacer" style="background-color: #E0E0E0;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_units <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Units (specify unit) <p class="hint">You may give ages in days, weeks, months or years. &lt;br/&gt;Please record first the number and then whether the number refers to days, weeks, months or years.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">years</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Years</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">months</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Months</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">weeks</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Weeks</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">days</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Days</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_contributed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How was the intervention funded?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretaker ...'s household only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">caretaker_both</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>By the caretakers (... and ...)' households only</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">all</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>All users contributed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no_cost</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There was no monetary cost for this intervention</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">other</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="spacer" style="background-color: #C5C5C5;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>replaced_part_ever_contributed_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify other.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_replaced_parts_ever_tw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source replaced during last year, but you have not entered the details for any replaced part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_num_replaced_parts_ever_dstw <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">You answered that there is some part of the source replaced during last year, but you have not entered the details for any replaced part!<br><br>Please go back to the previous screens and review your answers.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey for final TWs &gt; Water tests</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>arsenic_test_result <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please enter the test result for the arsenic field test (in ppb).</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">0</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>0</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>10</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">25</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>25</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">50</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>50</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">100</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>100</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">200</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>200</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">300</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>300</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">500</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>500</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_arsenic_test_results</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please show the respondent the result of the arsenic field test.<br>Inform the respondent that the test says that the water sample is contaminated according to the Bangladeshi standard (higher than 50 ppb).</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_arsenic_test_results2</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please show the respondent the result of the arsenic field test.<br>Inform the respondent that the test says that the water you tested has an arsenic level lower than 50 ppb, the Bangladeshi standard to define the level of contamination.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>note_ws_test_results</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please give the respondent the report card for the arsenic field test.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey for final TWs &gt; Users</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>users_num_reported_tell <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Can you tell us how many people come to collect water from this source daily?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>users_num_reported <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How many people come to collect water from this source daily? <p class="hint">Please provide an estimate.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>users_help_cleaning <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do households in the community typically help the caretakers/landowners to clean this water source? <p class="hint">Please ask this question to the caretakers/landowners, and confirm with other households.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>access <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Based on your observations, can all households in the community have access to this water source? <p class="hint">Do not ask this question to the landowner/caretaker! Answer this question based on your observations and information collected so far.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>restricted_access <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Are there any reports that the landowner/caretaker restricts access to the water source? <p class="hint">Do not ask this question in front of the landowner/caretaker! Try to speak privately with users and other households.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">yes</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">no</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>end_survey</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Thank the respondent for answering our questions. The interview is completed!<br><br>Do not ask the respondent the next question!</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>users_num_observed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Give the number of users you have observed collecting water since the beginning of the survey.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>note_end</span></td>
      <td class="questionCell">This is the end of the survey, water sample collection and tubewell visit. Please thank the caretaker and other participants for their time and availability!</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
    </tbody>
   </table>
  </div>
 </body>
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